Healthcare Provider Details
I. General information
NPI: 1669538062
Provider Name (Legal Business Name): ARRHYTHMIA CONSULTANTS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/29/2006
Last Update Date: 06/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
712 GROVE RD
GREENVILLE SC
29605-4211
US
IV. Provider business mailing address
712 GROVE RD
GREENVILLE SC
29605-4211
US
V. Phone/Fax
- Phone: 864-271-1444
- Fax: 864-271-0027
- Phone: 864-271-1444
- Fax: 864-271-0027
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0001X |
| Taxonomy | Clinical Cardiac Electrophysiology Physician |
| License Number | |
| License Number State | SC |
VIII. Authorized Official
Name: MISS
L. ANNETTE
HULL
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 864-672-0267